Which of the following is considered first-line therapy for primary dysmenorrhea?
A) Nonsteroidal anti-inflammatory drugs (NSAIDs)
B) Selective serotonin reuptake inhibitors (SSRIs)
C) Antiestrogens
D) Acupuncture
E) Tricyclic antidepressants
Answer and Discussion
The answer is A. Nonsteroidal anti-inflammatory drugs (NSAIDs)
Primary dysmenorrhea is associated with cramping pain in the lower abdomen occurring just before and/or during menstruation, in the absence of other conditions such as endometriosis. The initial
presentation of primary dysmenorrhea typically occurs in adolescence. The condition is associated with increased production of endometrial prostaglandin, resulting in increased uterine tone and stronger, more frequent uterine contractions. A diagnostic evaluation is unnecessary in women with
typical symptoms and in the absence of risk factors for secondary causes.
Nonsteroidal anti-inflammatory drugs are the most effective treatment, with the addition of oral contraceptive pills (OCPs) when necessary. About 10% of affected women do not respond to these measures. In these cases, it is important to consider secondary causes of dysmenorrhea in affected
women. Acupuncture is also used as an alternative treatment
This comment has been removed by the author.
ReplyDeleteThis article is one of a kind, so helpful.
ReplyDeleteStop Period Cramps
Hello Everyone out there,I am here to give my testimony about a Herbalist doctor who helped me . I was infected with HERPES SIMPLEX VIRUS in 2011, i went to many hospitals for cure but there was no solution, so I was thinking how can I get a solution out so that my body can be okay. One day I was in the river side thinking where I can go to get solution. so a lady walked to me telling me why am I so sad and i open up all to her telling her my problem, she told me that she can help me out, she introduce me to a doctor who uses herbal medication to cure HERPES SIMPLEX VIRUS and gave me his email, so i mail him. He told me all the things I need to do and also give me instructions to take, which I followed properly. Before I knew what is happening after two weeks the HERPES SIMPLEX VIRUS that was in my body got vanished . so if you are also heart broken and also need a help, you can also email him at {oliha.miraclemedicine@gmail.com}
ReplyDeleteor whatsapp him number: +2349038382931.
Contact him today and you will have a testimony...Good luck!
Dr. OLIHA Also Cures:
1. HIV/AIDS
2. HERPES 1/2
3. CANCER
4. ALS (Lou Gehrig’s disease)
5. Hepatitis B
6. chronic pancreatic
7. Emphysema
8. COPD (Chronic Obstructive Pulmonary Disease
Investing online has been a main source of income,that's why knowledge plays a very important role in humanity,you don't need to over work yourself for money.All you need is the right information,and you could build your own wealth from the comfort of your home!Binary trading is dependent on timely signals,assets or controlled strategies which when mastered increases chance of winning up to 90%-100% with trading. It’s possible to earn $10,000 to $20,000 trading weekly-monthly,just file a complaint with Robert,I had almost given up on everything about binary trading and ever getting my lost funds back,till i met with him,with his help now i have my lost funds back to my bank account and I can now trade successfully with his profitable strategies and software!! Email: Robertseaman939@gmail.com or Fb.me/investandmakemoney1 or whatsApp: +44 7466 770724
ReplyDelete